Bangma Meike, Kazemier Brenda M, Papatsonis Dimitri N M, Van der Zaag-Loonen Hester J, Paarlberg K Marieke
Department of Obstetrics and Gynaecology, Amphia Teaching Hospital Breda , Breda, The Netherlands.
Department of Obstetrics and Gynaecology, Gelre Hospitals Apeldoorn Location , Apeldoorn, The Netherlands.
J Reprod Infant Psychol. 2020 Sep;38(4):367-377. doi: 10.1080/02646838.2020.1753031. Epub 2020 May 12.
Fear of childbirth is an important reason for a caesarean section on request.
To assess the association between depressive symptoms during pregnancy and post-delivery fear of childbirth (PFOC).
We prospectively studied pregnant women from two hospitals in the Netherlands. Women completed the Edinburgh Depression Scale (EPDS), the Wijma Delivery Experience Questionnaire (W-DEQ B) and questions concerning risk factors. Depressive symptoms were assessed at baseline and six weeks post-delivery. PFOC was assessed six weeks post-delivery. Baseline characteristics and pregnancy outcomes were compared between women with and without a depression at baseline. The association between depression and PFOC was assessed with multivariable logistic regression analysis.
245 women participated in this study. At baseline 11% suffered from depressive symptoms. There were no differences in pregnancy outcomes. Women with depressive symptoms more often suffered from depressive symptoms six weeks post-delivery (adjusted OR 4.9, 95% CI 1.4-17). PFOC six weeks post-delivery was present in 11%. Women with depression were at increased risk of PFOC six weeks post-delivery (adjusted OR 9.2, 95% CI 2.6-32).
This study shows that women with depression at baseline are at increased risk for depression and PFOC six weeks post-delivery.
对分娩的恐惧是要求剖宫产的一个重要原因。
评估孕期抑郁症状与产后分娩恐惧（PFOC）之间的关联。
我们对荷兰两家医院的孕妇进行了前瞻性研究。女性完成了爱丁堡产后抑郁量表（EPDS）、维玛分娩体验问卷（W-DEQ B）以及有关危险因素的问题。在基线期和产后六周评估抑郁症状。在产后六周评估PFOC。比较基线期有抑郁和无抑郁的女性的基线特征及妊娠结局。采用多变量逻辑回归分析评估抑郁与PFOC之间的关联。
245名女性参与了本研究。在基线期，11%的女性有抑郁症状。妊娠结局无差异。有抑郁症状的女性在产后六周更常出现抑郁症状（校正比值比4.9，95%可信区间1.4 - 17）。产后六周有PFOC的女性占11%。有抑郁的女性在产后六周出现PFOC的风险增加（校正比值比9.2，95%可信区间2.6 - 32）。
本研究表明，基线期有抑郁的女性在产后六周出现抑郁和PFOC的风险增加。
